So wo mmati nso abubu? (Shoulder Fracture) Mma ɛnhaw wo, momma yɛnka eyi ho asɛm!

Oh me mmati... ɛte sɛ nea wuntumi ntutu mpo? Bere a woahwe ase anaa akwanhyia bi akyi no, so woate ɛyaw a emu yɛ den ne wo mmati a ɛho ahonhon, na ɛmma wuntumi mma wo nsa so mpo? Afei ebia wo mmati abubu, a ɛyɛ dompe a abubu wɔ wo mmati mu . Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka no tiawa koraa. Mma ɛnhaw wo, saa nsɛm yi bɛboa wo kɛse.

Dɛn ne Mmati a Abubu?

Sɛ yɛbɛka no tiawa a, mmati a abubu yɛ dompe a ɛwɔ wo mmati nkwaa mu a ɛpaapae, a ɛno ne nea yɛfrɛ no "dompe a abubu" wɔ da biara da kasa mu.

So wunim sɛ yɛn mmati yɛ nkwaa a ɛyɛ nwonwa? Ɛyɛ nkwaa a ɛma yetumi keka yɛn nsa, ma so, na yɛdannan no wɔ akwan horow pii so. Nnompe atitiriw abiɛsa na ɛwom. Saa abiɛsa yi mu biako anaa nea ɛboro saa a ɛpaapae ne nea yɛfrɛ no mmati a abubu.

Nnompe titiriw bɛn na ɛka bom yɛ mmati no? Ɔkwan bɛn so na wobetumi abubu wɔn?

Nnompe atitiriw abiɛsa na ɛyɛ mmati nkwaa no. Saa baasa yi mu biara betumi abubu. Ɛno ne bere a yɛfrɛ no ‘mmati a abubu.’

• Proximal Humerus: Eyi ne dompe tenten a ɛwɔ wo nsa atifi no fã a ɛwɔ soro a ɛne mmati no di nkitaho. Ebetumi abubu, te sɛ bere a obi ahwe ase.
• Scapula: Eyi ne dompe a ɛyɛ tratraa a ɛyɛ ahinanan a yɛte nka bere a yɛde yɛn nsa to yɛn mmati akyi no. Ɛnyɛ den sɛ ebebubu efisɛ ntini akata so yiye.
• Clavicle: Wɔsan frɛ no ‘collar bone’, eyi ne dompe ketewa a ɛware a efi kɔn ase kosi mmati so. Eyi ne dompe a sɛ wohwe ase bere a woredi agumadi a, ɛda adi sɛ ebebubu.

Wobu nnompe yi mu biara a abubu sɛ mmati a abubu.

Mmati a ɛpaapae yi taa yɛ dɛn?

Sɛ wɔde toto mmati mu apirakuru afoforo te sɛ mmati a ɛpaapae ho a, mmati a ɛpaapae no ntaa nyɛ saa. Nanso, wɔtaa ba wɔ nsɛm bi mu:

• Clavicle a ɛpaapae: Eyinom abu so koraa wɔ mmofra nkumaa mu, titiriw wɔn a wodi agoru no. Sɛ nhwɛso no, sɛ wohwe ase mpofirim bere a woredi agoru a, eyi betumi asi.
• Proximal Humerus Fractures: Eyinom taa ba nnipa a wɔadi boro mfe 65 so, titiriw wɔn a wɔwɔ nyarewa a ɛma nnompe yɛ mmerɛw (te sɛ nnompe mu yare) . Sɛ wohwe ase na wohwe ase wɔ fie mpo a, ebetumi asi.
• Scapula Fractures: Eyi ntaa nsi koraa efisɛ ntini a ɛwɔ koko ne akyi no bɔ ho ban yiye. Ɛnsɛe ntɛm gye sɛ akwanhyia kɛse bi si.

Dɛn ne mmati a abubu ho sɛnkyerɛnne?

Sɛ wo mmati abubu a, ebia wubenya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa. Sɛ wuhu eyinom mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu.

• Mmati mu yaw a emu yɛ den: Eyi ne sɛnkyerɛnne titiriw. Ɛtɔ mmere bi a, ɛyaw no betumi ayɛ nea wontumi nnyina ano.
• Rehono:Ebia ɛho ahonhon pii bɛtwa baabi a abubu no ho ahyia.
• Akuru anaa honam ani kɔla a ɛbɛsakra: Beae a abubu no betumi adan bruu/kɔla kɔkɔɔ.
• Mmati a wontumi ntutu anaa wɔmfa nni dwuma: Ebia ɛbɛyɛ den yiye, anaasɛ ɛrentumi nyɛ yiye sɛ wobɛma basa no so anaasɛ wobɛdannan no.
• Wobetumi ahu akisikuru, akisikuru, anaa nsakrae a ɛyɛ soronko wɔ mmati no so: Sɛ wuhu nsonsonoe bere a worehwɛ no afi mmati foforo no so a, ɛno nso yɛ sɛnkyerɛnne.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mmɔ mmɔden sɛ wubesiesie wo mmati anaa wo nsateaa. Kɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn nti na mmati a ɛpaapae yi ba?

Mmati mu a ɛpaapae dodow no ara ba bere a wɔabɔ mmati no mpofirim, denneennen anaasɛ wɔapirapira no. Susuw tebea horow te sɛ eyinom ho hwɛ:

• Agumadi mu akwanhyia: Sɛ obi hwe ase bere a ɔredi agoru, ɔne obi foforo bɔ, biribi te sɛ bɔɔl bɛbɔ no.
• Ahwease: Sɛ wohwe ase na wohwe ase fa ɔpon bi mu, wohwe ase wɔ aguaree mu, wofi soro hwe ase (e.g., wofi dua so, antweri so). Ɛtɔ da mpo a, ebetumi asi bere a wɔnantew abɔnten so no.
• Kar akwanhyia: Sɛ ɛba mmati so tẽẽ wɔ kar, sakre, anaa kar a ntwahonan abiɛsa akwanhyia mu a, ebetumi abubu.

Hena na ɔwɔ asiane kɛse sɛ ne mmati bebubu?

Obiara betumi abubu ne mmati. Nanso, nnipa binom wɔ asiane a ɛkɔ soro kakra mu:

• Mmofra ne mmerante ne mmabaa: wɔtaa de wɔn ho hyɛ akwanhyia mu esiane sɛ wɔyɛ nnam nti.
• Nnipa a wɔadi boro mfe 65: asiane kɛse wom sɛ wɔbɛhwe ase na wobetumi nso anya nnompe a ɛyɛ mmerɛw.
• Nnipa a wɔn nnompe yɛ mmerɛw: Nnipa a nnompe mu yare anaa nnompe mu yare no wɔ asiane kɛse mu sɛ wɔn dompe bebubu, sɛ wɔhwe ase kakra mpo a. Nnompe mu yare yɛ yare a ɛma nnompe yɛ teateaa, ɛyɛ mmerɛw, na ɛnyɛ den sɛ ɛbɛbubu. Nnipa pii hu sɛ wɔwɔ yare no bere a wɔabubu dompe bi akyi nkutoo. Eyi te saa efisɛ mfiase no enni sɛnkyerɛnne atitiriw biara.

Dɛn ne nsɛnnennen a ebetumi afi mmati a abubu mu aba?

Mmati a abubu nyɛ asɛm a ɛyɛ mmerɛw. Ɛtɔ mmere bi a, ebetumi de ɔhaw afoforo aba:

• Nneɛma a Ɛyɛ Den a Ɛkɔ So: Ebia nnipa pii bɛkɔ so ayɛ den kakra wɔ nkwaa no mu bere a wɔn mmati a abubu no ayɛ yiye mpo no.
• Ntini mu Yare: Mmati a abubu betumi ama asiane a ɛwɔ hɔ sɛ obi benya ntini mu yare wɔ saa mmati no mu daakye no ayɛ kɛse.
• Nyarewa: Sɛ dompe a abubu pae honam ani (abubuw), a ɛkyerɛ sɛ kuru no abue a, asiane kɛse wɔ hɔ sɛ nnompe mu yare ( osteomyelitis ) bɛba.
• Ntini afoforo a ɛsɛe: Ɛntaa mma koraa sɛ akwanhyia koro no ara a ɛmaa mmati mu bubui no nso betumi asɛe mmati no afã afoforo. Nhwɛsoɔ:
• Ntini ahorow
• Ntini a ɛwɔ ntini mu
• Ntini a ɛwɔ nipadua no mu
• Ntini a ɛma obi nya ntini
• Mogya Ntini

Wobɛyɛ dɛn ahu no yiye sɛ mmati bi abubu?

Oduruyɛfo bi bɛhwɛ wo mmati mu na wayɛ mfoninitwa nhwehwɛmu titiriw bi de ahu sɛ ebia wo mmati abubu anaa. Sɛ wokɔ Emergency Department (ETU) wɔ akwanhyia akyi a, nnuruyɛfo a wɔwɔ hɔ no betumi ahu eyi.

Dɛn ne mfoninitwa sɔhwɛ ahorow yi?

• X-ray: Eyi ne ade a edi kan a wobɛyɛ. X-ray betumi asi nnompe biara a abubu no so dua na woahu sɛnea wɔasɛe nnompe no kɛse.
• Magnetic Resonance Imaging (MRI): Ɛtɔ mmere bi a, wobetumi ayɛ MRI de ahwehwɛ sɛ nneɛma asɛe, titiriw wɔ ntini a ɛyɛ mmerɛw (te sɛ ntini ne ntini ahorow) ho. Eyi betumi ama woahu sɛnea nnompe no asɛe ne sɛnea ntini a atwa ho ahyia no te.
• Computed Tomography Scan (CT Scan): CT scan tumi hwɛ dompe no ne ntini a atwa ho ahyia no kɔ akyiri sen X-ray. Eyi ho hia yiye sɛ wɔreyɛ wo oprehyɛn a, efisɛ ɛma oduruyɛfo a ɔyɛ oprehyɛn no tumi hu nea abubu no yiye.

So nnompe a abubu no tu kɔ baabi foforo? (Apae a Wɔatu ne Wɔn a Wɔatu Wɔn Atetew Mu Abubuw) .

Sɛ wo duruyɛfoɔ ka wo abubuo no ho asɛm a, ɔbɛka sɛ ‘ɛatu’ anaasɛ ‘ɛnyɛ nea ɛtu’.

• Abubuw a wɔatu afi baabi foforo ne bere a asinasin abien a abubu no ntam kwan ware yiye, na ɛma nsonsonoe kɛse da wɔn ntam. Ɛte sɛ dompe a abubu wɔ kwan no mfinimfini. Mpɛn pii no, akisikuru ahorow yi hwehwɛ sɛ wɔyɛ oprehyɛn.
• In a non-displaced fracture , dompe no da so ara abubu, nanso asinasin a abubu no nkɔɔ akyiri koraa, ɛda so ara yɛ pɛpɛɛpɛ. Ɛtɔ mmere bi a, wobetumi asa eyinom a wɔnyɛ oprehyɛn.

So kuru no abue anaasɛ wɔato mu? (Open vs. Closed Fractures) .

Oduruyɛfo no nso bɛkyekyɛ saa akisikuru yi mu sɛ ‘wɔabue’ anaa ‘wɔato mu’.

• Wɔ abubuw a ɛda hɔ mu no , dompe a abubu no bubu honam ani na ɛpuepue. Wɔsan frɛ eyi sɛ ‘compound fracture’. Eyi yɛ asɛm a egye ntɛmpɛ! Asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa ne nsɛnnennen afoforo no dɔɔso kɛse wɔ akisikuru a abue mu. Susuw ho hwɛ, sɛ dompe no da adi a, ɛnyɛ den sɛ mmoawa betumi akɔ mu, ɛnte saa?
• Dompe a wɔato mu nso yɛ aniberesɛm, nanso dompe no mfi honam ani.

Ɔkwan bɛn so na wɔsa mmati a abubu?

Ayaresa a wɔde sa wo mmati no gyina dompe a abubu, sɛnea emu yɛ den (te sɛ nea wɔatu anaasɛ wɔabue), ne sɛ ebia woapira afoforo so.

Nneɛma a ɛma obi ntumi nkɔ baabiara

Sɛ abubuw no mu nyɛ den dodo, a ɛkyerɛ sɛ nnompe no ntam nware dodo (abubu a ɛnyɛ nea ɛkɔ baabi foforo) a, ebia ɛho behia sɛ wode agyan anaa ade a wɔde hyɛ mu nkutoo na edi dwuma. Bere tenten a ɛsɛ sɛ wohyɛ eyi begyina nea ɛde abubuw no ba ne sɛnea abubu no so. Mpɛn pii no, ɛbɛtra hɔ adapɛn kakraa bi. Ebia ɛho behia nso sɛ woyɛ X-ray daa na ama woahwɛ ahu sɛ wo nnompe resa yiye.

Mpɛn pii no, clavicle ne scapula a ɛpaapae no hwehwɛ sɛ wɔma obi ntumi nkɔ baabiara te sɛ eyi nkutoo, na ɛno akyi no wɔyɛ nipadua mu ayaresa na ama mmati asan akanyan.

Mmati a Ɛpaapae Oprehyɛn

Mmati a abubu no bi hia oprehyɛn, titiriw:

• Sɛ nnompe asinasin a abubu no akɔ akyiri dodo (Displaced Fracture).
• Sɛ abubuw no abue a (Open Fracture).
• Sɛ glenoid, socket a wo nsa atifi dompe (humerus) no gyina no asɛe a.

Oprehyɛn ahorow a wɔtaa yɛ wɔ mmati a ɛpaapae mu ne:

1. Open Reduction ne Nneɛma a Wɔde Sisi Mu (ORIF) .

Eyi ne baabi a oduruyɛfo a ɔyɛ oprehyɛn no de wo nnompe a abubu no si baabi a ɛfata, afei osiesie sɛnea ɛbɛyɛ a ebetumi abom anyin yiye. Wɔtaa fa ‘internal fixation’ so na ɛyɛ eyi. Eyi kyerɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn no de dade mprɛte, nkɔnsɔnkɔnsɔn, anaa nhama hyɛ wo dompe mu de kura mu kosi sɛ dompe no bɛsa. Ɛtɔ mmere bi a, saa dade asinasin yi betumi atra wo nipadua mu nkwa nna nyinaa. Ebia ɛho behia sɛ wɔyɛ nnipa binom oprehyɛn foforo na wɔayi afi hɔ akyiri yi.

2. Nkwaa a Wɔde Si ananmu (Arthroplasty) .

Arthroplasty yɛ oprehyɛn a wɔde si nkwaa ananmu. Sɛ wo mmati nkwaa abubu kɛse a, ebia ebehia sɛ wɔyɛ wo oprehyɛn de sesa wo mmati. Oduruyɛfo a ɔyɛ oprehyɛn no beyi nkwaa a asɛe no na ɔde nkwaa a wɔde ayɛ (prosthesis) asi ananmu.

So nsɛnnennen bi wɔ hɔ a ebetumi afi oprehyɛn mu aba?

Nsɛnnennen a efi oprehyɛn a wɔde yɛ mmati a ɛpaapae mu ba no ntaa mma, nanso ɛtɔ mmere bi a nea edidi so yi betumi aba:

• Acute Compartment Syndrome (ACS): Sɛ nhyɛso a ɛwɔ wo ntini mu no kɔ soro na mogya a ɛkɔ ntini no mu no gyae a, ebetumi asɛe ntini ne ntini no daa.
• Malunion: Eyi ba bere a wo nnompe a abubu no nhyia yiye bere a ɛresa no.
• Nonunion: Ɛtɔ mmere bi a, ebia nnompe no renhyiam koraa, anaasɛ ebia ɛrenhyia koraa.
• Oprehyɛn mu nsɛnnennen a ɛtaa ba te sɛ ɔyare mmoawa, mogya a ɛtɔ dodo, ne ɔhaw ahorow a ɛfa aduru a wɔde kum nipadua no ho.

Bere tenten ahe na egye ansa na asa fi mmati a abubu no mu? Dɛn na ɛsɛ sɛ mehwɛ kwan?

Nnipa pii a wɔn mmati bubu no behia nipadua mu ayaresa asram pii bere a wɔn ho retɔ wɔn no.Ɛsɛ sɛ woyɛ. Apɔw-mu-teɛteɛ ho ɔyaresafo betumi aboa wo ma woasan anya ahoɔden ne baabi a wubetumi akanyan (baabi a wubetumi de wo mmati akɔ akyiri). Saa apɔw-mu-teɛteɛ yi a wobɛyɛ no yiye no ho hia yiye na ama obi ho atɔ no ntɛmntɛm.

Mmati a ɛpaapae kɛse betumi ama mmati no ayɛ den daa anaasɛ ɛbɛma mmati no ayɛ den daa. Wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn no bɛkyerɛkyerɛ eyi mu akyerɛ wo.

Bere a wɔde sa yare

Bere tenten a egye ansa na wo mmati ayɛ yiye no gyina nneɛma pii so:

• Dompe bɛn na ebubui?
• Hwɛ sɛnea awaregyae no yɛ aniberesɛm.
• Ayaresa bɛn na na wuhia (oprehyɛn anaasɛ ɛnte saa).
• Wo mfe a woadi ne w’akwahosan nyinaa.
• Sɛnea woyɛ apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ yiye.

Ebetumi agye fi adapɛn kakraa bi kosi asram kakraa bi ansa na ne ho atɔ no koraa. Wɔ tebea horow bi a emu yɛ den mu no, ebetumi agye bere tenten. Bisa wo duruyɛfo anaa oprehyɛn ho ɔbenfo bere a ɛfata wo tebea no ho asɛm.

Bisa wo duruyɛfo bere a wubetumi asan afi ase ateɛteɛ w’apɔw mu na woadi agoru. Ɛsɛ sɛ woma wo mmati tu na amma anyɛ den bere a ɛresa no, nanso mfa wo mmati a abubu no nyɛ agumadi anaasɛ mfa nneɛma a emu yɛ duru nkɔ so kosi sɛ wo duruyɛfo bɛka sɛ ɛnyɛ hwee . Saa a wɔbɛyɛ no betumi ama opira no asan aba bio.

Ɔkwan bɛn so na wobɛbɔ wo ho ban afi mmati a abubu ho?

"Ɛyɛ papa sɛ wubesiw akwanhyia ano sen sɛ wubenu wo ho bere a asi akyi." Enti di ahobammɔ ho afotu yi akyi:

• Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no.
• Hyɛ ahobanbɔ nnwinnade a ɛfata (e.g. dade kyɛw, mmati so ntama) wɔ agumadi anaa adwuma biara mu.
• Ma wo fie ne w’adwumam nyɛ fɛ na nneɛma a ebetumi ahwe ase na ahwe ase nni mu. Hwɛ yiye sɛ fam no yɛ nsu a.
• Sɛ worefa biribiara afi soro a, fa adwinnade anaa nnwinnade a ɛfata di dwuma bere nyinaa . Mforo nkongua anaa apon so da.
• Di aduan ne apɔw-mu-teɛteɛ nhyehyɛe a calcium ne vitamin D pii wom akyi na aboa ma nnompe akwahosan pa akɔ so.
• Sɛ woadi boro mfe 65, anaasɛ obi a ɔwɔ w’abusua mu wɔ nnompe mu yare a, wo ne wo duruyɛfo nkasa mfa nnompe mu duru ho nhwehwɛmu ho.
• Sɛ ɛyɛ den ma wo sɛ wobɛnantew anaasɛ asiane kɛse wom sɛ wobɛhwe ase a, fa poma anaa nea wɔde nantew di dwuma .

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wususuw sɛ wo mmati abubu (anaasɛ dompe foforo biara) , kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara . Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ ER:

• Ɛyaw a emu yɛ den yiye.
• Sɛ wuntumi ntwe wo mmati sɛnea ɛsɛ a.
• Sɛ wo mmati anaa wo nsa te sɛ nea ɛnteɛ anaasɛ asesa ne gyinabea (deformity).
• Sɛ wo dompe no fa honam ani hwɛbea (Open Fracture).
• Ɔhonhon a emu yɛ den.
• Nea ɛka sɛnkyerɛnne afoforo yi ho no, wotumi hu akuru foforo.
• Sɛ wo nsa mu ayɛ wo yaw anaasɛ wo ho ayɛ wo fitaa (eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya anaa ntini ahorow no asɛe).

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ wo duruyɛfo nkyɛn a, nsuro sɛ wubebisa nsɛm biara a wowɔ. Ntease a emu da hɔ a wubenya no ho hia yiye ma ayaresa nhyehyɛe no. Sɛ nhwɛso no, wubetumi abisa nsɛm yi:

• Dompe bɛn na abubu? Ɛyɛ aniberesɛm dɛn?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn? Sɛ mewɔ bi a, dɛn na ɛbɛba?
• Bere tenten ahe na ɛsɛ sɛ mehyɛ sling anaa brace?
• Dɛn na wobetumi ayɛ wɔ ɛyaw ho?
• Bere bɛn na metumi afi ase ateɛteɛ m’apɔw mu na madi agoru bio?
• So nipadua mu ayaresa ho behia? Sɛ saa a, bere bɛn na ɛsɛ sɛ efi ase?
• So metumi atutu me nsateaa, me nsateaa, ne me nsateaa na amma anyɛ den kosi sɛ me mmati bɛsa?
• So nneɛma titiriw bi wɔ hɔ a ɛsɛ sɛ mehwɛ yiye wɔ ho wɔ fie?

So wubetumi atutu wo mmati a abubu?

Sɛ wububu mmati a, ebia wuntumi ntutu anaasɛ wuntumi ntutu. Nanso sɛ woyɛ saa a, wobɛte ɛyaw kɛse nka . Worentumi ntutu wo mmati sɛnea ɛsɛ.

Mmɔ mmɔden da sɛ wode wo mmati bedi dwuma denneennen bere a akwanhyia bi asi akyi. Sɛ woahyia akwanhyia na wususuw sɛ wo dompe abubu a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Wo duruyɛfo anaa oprehyɛn ho ɔbenfo bɛkyerɛ wo bere a wubetumi afi ase akanyan wo nsa ne wo mmati bio bere a wo abubuw no ayɛ yiye no. Wo nipadua mu ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ ne sɛnea wobɛtrɛw wo ho mu de ahyɛ ntini a atwa wo mmati ho ahyia no den bere a wo ho retɔ wo no. Bere a wo mmati resa no, ebia wubetumi atutu wo nsa no afã afoforo te sɛ wo nsateaa, wo nsateaa, ne wo nsateaa, a worenhyɛ so. Bisa wo duruyɛfo no eyi nso ho asɛm.

Enti, nneɛma bɛn na etwa to a ɛsɛ sɛ yɛkae? (Nkrasɛm a Wɔde Kɔ Fie)

Mmati a ɛpaapae yɛ dompe a ɛwɔ mmati nkwaa no mu a ɛpaapae. Saa opira ahorow yi taa ba mpofirim, bere a yɛnhwɛ kwan koraa no. Enti ebetumi ayɛ hu kakra, nanso ɛno yɛ ade a ɛfata.

Nea ɛho hia sen biara ne sɛ wubenya ayaresa a ɛfata na woadi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wɔyɛ wo oprehyɛn mpo a, ɛsɛ sɛ wo mmati nkwaa no sa wɔ asram kakraa bi mu. Ebia wobɛte nka sɛ wo mmati ayɛ den kakra. Nanso, nnipa dodow no ara betumi asan anya wɔn ahoɔden ne wɔn kankyee dodow no ara denam nipadua mu ayaresa so.

Enti mma wo ho nnpopo, nya abotare, di oduruyɛfo no akwankyerɛ akyi, na hwehwɛ ayaresa. Ɛmmra sɛ wo ho bɛtɔ wo ntɛm!

` Mmati a ɛpaapae, Mmati a ɛpaapae, Mmati a ɛpaapae Sinhala, Mmati mu yaw, Mmati a ɛpaapae ayaresa, Mmati oprehyɛn, Apɔw-mu-teɛteɛ